KMART PHARMACY 4375 Pharmacist License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005866

License Status

CHANGE OF OWNERSHIP

Business

Business Name

KMART PHARMACY 4375

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005